DR. WILLIAM DAVID BROCK (NPI# 1336161520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336161520 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM DAVID BROCK |
| Credential | PH.D. |
| Practice Address |
1241 Mall Dr Richmond VA 23235-4737 |
| Practice Telephone | 8047948828 |
| Practice Fax Number | 8047944735 |
| Mailing Telephone | 8047948828 |
| Mailing Fax Number | 8047944735 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1399 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7755163 | 05 | |
| ANTHEM PROVIDER NUMBER | O39287 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946576 | William M Brock | Student in an Organized Health Care Education/Training Program | 3640 High St Ste 2f, Portsmouth, VA 23707-3213 | 2018-03-21 |
| 1578116752 | William Nelson Brock | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2019-07-17 |
| 1023195807 | William Bradford Brock | Surgery | 1589 Sparta St, Suite 105, Mc Minnville, TN 37110-1390 | 2006-11-01 |
| 1548361744 | William Michael Brock | Psychologist | 3435 Camino Del Rio S, Suite 205, San Diego, CA 92108-3902 | 2006-09-26 |
| 1891899225 | William Allen Brock | Nurse Anesthetist, Certified Registered | 3600 Darnall Loop, Carl R Darnall Army Medical Center, Fort Hood, TX 76544 | 2006-09-07 |
| 1811965460 | William A Brock | Internal Medicine | 850 Kempsville Rd, Norfolk, VA 23502-3920 | 2006-03-09 |
| Street Address |
1241 MALL DR |
| City | RICHMOND |
| State | VA |
| Zip Code | 23235-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500575 | Audrey Doris Landers | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4737 | 2005-09-30 |
| 1023277332 | Stephanie Lynn Dauley | Counselor | 1241 Mall Dr, Richmond, VA 23235-4879 | 2008-06-03 |
| 1730354804 | Buczek & Ehrmantraut PC | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4879 | 2008-04-29 |
| 1962515114 | Patricia Leigh Winterberger Brock | Counselor | 1241 Mall Dr, Richmond, VA 23235-4737 | 2006-08-15 |
| 1124073853 | Michael Dorian Smith | Counselor | 1241 Mall Dr, Richmond, VA 23235-4737 | 2006-05-23 |
| 1902858897 | John Edward Ehrmantraut Jr. | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4737 | 2006-05-17 |
| 1295786390 | Teresa Ann Buczek | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4737 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796731 | A Step Forward Wellness Services LLC | Psychologist | 2002 Bremo Rd Ste 204, Richmond, VA 23226-2441 | 2018-10-22 |
| 1417435447 | Erin D. Kurtz | Psychologist | 1201 Broad Rock Blvd # 116b, Richmond, VA 23249-0001 | 2018-08-01 |
| 1649762873 | Caitlin Paige Campbell | Psychologist | 1201 Brock Road Blvd, Richmond, VA 23249-0001 | 2018-06-04 |
| 1689195141 | Kimberly Knight Hilton | Psychologist | 2401 Hartman St, Richmond, VA 23223-2458 | 2017-07-05 |
| 1720511504 | Marshall Psychological Services, LLC | Psychologist | 2800 N. Parham Road, Suite 107, Richmond, VA 23294 | 2017-04-07 |
| 1740732981 | Howard Lloyd | Psychologist | 907 Floyd Ave, Richmond, VA 23284-9026 | 2016-11-03 |
| 1679929061 | Elizabeth Meghan Archer Wheeler | Psychologist | 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 | 2016-05-04 |
| 1730558909 | Jodi Suzanne Couick | Psychologist | 3000 Parker Rd, Richmond, CA 94806-2742 | 2015-09-17 |
| 1386024461 | Rosalie Corona | Psychologist | 4730 East Southside Plaza, Richmond, VA 23224 | 2015-06-04 |
| 1649677337 | Yuriy Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2014-11-25 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.